1. in the name of God AJA University of Medical Sciences Aerospace & Subaquatic Medicine Faculty Tehran, Iran

2. Aerospace & Subaquatic Medicine Faculty Tehran, Iran

4. دکتر امیر خوشوقتی Amir Khoshvaghti, MD PhD دکتر امیر خوشوقتی Amir Khoshvaghti, MD PhD Email: anatomygray2009@gmail.com Telemedicine as the Best Solution for Cardiac Emergencies in Air Travels

5. Introduction

6. In-flight medical and cardiac emergencies always occur air travels are increasing every year.

7. Introduction Not so many researches about problem, Limited experience of physicians, Lack of formal medical education.

8. Introduction Airlines do not record Cardiac emergencies as a standard format. Telemedicine is considered to provide health care at a distance.

10. Methods systematic review, pubmed articles, from 2000-2015.

12. Results Every year in America, 17000 in-flight medical emergencies.

13. Results (Siverman 2009, Muhm 2007, Gallagher 2004, and Hackett 2001): There are potential stresses in air travel.

14. Results Commercial airplanes are pressurized If pressure reduction happens, there would be a serious problem; hypoxia.

15. Results Cardiac and respiratory patients (symptomatic coronary disease, uncompensated heart failure, heart congenital and valvular disorders, sickle cell anemia, and sleep apnea) will suffer from lack of oxygen (Hypoxia).

16. Results Chest pain and cardiovascular emergencies have diverted flights in most instances (Chandra et al, 2013).

17. Discussion and conclusion Telemedicine seems the best solution for the problem, especially with supervision of an aerospace medicine specialist.

18. Discussion and conclusion Suggestions proposed by aerospace medicine: Travelers screening, Educational programs for travelers, Education of aircrew, Founding a central standard recording system, Designing proper medical kits for airplanes, Considering telemedicine as the basic necessity for emergencies (especially cardiac) in air travel.

19. Thanks